Individual
CHANELL TONI SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
64 SYCAMORE AVE, MOUNT VERNON, NY 10553-1216
(914) 664-6972
Mailing address
223 SPRING ST APT E, OSSINING, NY 10562-5700
(914) 565-7403
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
335644
NY
Other
Enumeration date
07/31/2019
Last updated
07/31/2019
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